OAR 309-019-0248
ACT Admission Process

(1) A comprehensive assessment as defined in OAR 309-019-0105 (Definitions)(8) that demonstrates medical appropriateness shall be completed prior to the provision of this service. If a substantially equivalent assessment is available that reflects current level of functioning and contains standards consistent with OAR 309-019-0135 (Entry and Assessment) to include sufficient information and documentation to justify the presence of a diagnosis that is the medically appropriate reason for services, the equivalent assessment may be used to determine admission eligibility for the program.
(2) A referral for ACT is managed and coordinated by a designated SPOC, as defined in these rules:
(a) The designated SPOC shall accept referrals and verify the required documentation supports and the referral for services when an approximate, reasonable date of admission to the ACT program is anticipated;
(b) The Authority shall work with the CCOs and the CMHPs to identify regional SPOCs;
(c) The Authority shall work with the CCOs and the CMHPs to identify a process where referrals can be received and tracked.
(3) The SPOC shall report the provider’s admission decision to the Division within five business days of receiving the determination.
(4) All referrals for ACT services shall be submitted through the designated regional SPOC, regardless of the origin of the referral when an approximate, reasonable date of admission to the ACT program is anticipated. The designated regional SPOC shall accept and evaluate referrals from mental health outpatient programs, residential treatment facilities or homes, families or individuals, and other referring sources.
(5) Given the severity of mental illness and functional impairment of individuals who qualify for ACT services, the final decision to admit a referral rests with the provider. Any referral to a provider shall therefore present a full picture of the individual by means of the supporting medical documentation attached to the Universal ACT Referral and Tracking Form and include an approximate date the referred individual will be able to enroll in an ACT program. A tentative admission decision and an agreement to screen by the ACT services provider shall be completed within five business days of receiving the referral:
(a) The individual’s decision not to take psychiatric medication is not a sufficient reason for denying admission to an ACT program;
(b) ACT capacity in a geographic regional service area is not a sufficient reason for not providing ACT services to an ACT eligible individual. If an individual who is ACT eligible cannot be served due to capacity, the SPOC shall provide the individual with the option of being added to a waiting list until such time as the ACT eligible individual may be admitted to a certified ACT program:
(A) The ACT eligible individual who is not accepted into an ACT program or placed on the waitlist due to capacity shall be offered alternative community-based rehabilitative services as described in the Oregon Medicaid State Plan that includes evidence-based practices to the extent possible;
(B) Alternative evidence-based services shall be made available to the individual:
(i) Until the individual is admitted into an ACT program;
(ii) Alternative evidence-based services are medically appropriate and meet the individual’s treatment goals; or
(iii) The individual refuses alternative medically appropriate evidence-based services.
(6) Upon the decision to admit an individual to the ACT program, the Authority’s Universal ACT Referral and Tracking Form shall be updated to include:
(a) A tentative admission is indicated;
(b) When an admission is not indicated, notation shall be made of the following:
(A) The reasons for not admitting;
(B) The disposition of the case; and
(C) Any referrals or recommendations made to the referring agency, as appropriate.
(7) Individuals who meet admission criteria and are not admitted to an ACT program due to program capacity may elect to be placed on a waiting list. The Authority shall monitor each regional waiting list until sufficient ACT program capacity is developed to meet the needs of the ACT eligible population.
(8) In addition, if an individual is denied ACT services and has met the admission criteria set forth in OAR 309-019-0245 (ACT Admission Criteria), the individual who is denied services or their guardian may appeal the decision by filing a grievance in the manner set forth in OAR 309-008-1500 (Complaints).

Source: Rule 309-019-0248 — ACT Admission Process, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-019-0248.

309–019–0100
Purpose and Scope 309–019–0105
Definitions 309–019–0110
Provider Policies 309–019–0115
Individual Rights 309–019–0125
Specific Staff Qualifications and Competencies 309–019–0130
Personnel Documentation, Training, and Supervision 309–019–0135
Entry and Assessment 309–019–0140
Service Plan and Service Notes 309–019–0145
Co-Occurring Mental Health and Substance Use Disorders (COD) 309–019–0150
Community Mental Health Programs (CMHP) 309–019–0155
Enhanced Care Services (ECS) and Enhanced Care Outreach Services (ECOS) 309–019–0160
Psychiatric Security Review Board and Juvenile Psychiatric Security Review Board 309–019–0165
Intensive Outpatient Services and Supports (IOSS) for Children 309–019–0167
Intensive In-Home Behavioral Health Treatment (IIBHT) for Children 309–019–0170
Outpatient Problem Gambling Treatment and Recovery Services 309–019–0175
Culturally Specific Substance Use Disorders Treatment and Recovery Services 309–019–0185
Outpatient Substance Use Disorders Treatment and Recovery Programs 309–019–0190
Community-Based Substance Use Treatment Programs for Individuals in the Criminal Justice System 309–019–0195
DUII Services Providers 309–019–0200
Medical Protocols in Outpatient Substance Use Disorders Treatment and Recovery Programs 309–019–0205
Building Requirements in Behavioral Health Programs 309–019–0210
Quality Assessment and Performance Improvement 309–019–0215
Grievances and Appeals 309–019–0220
Variances 309–019–0225
Assertive Community Treatment (ACT) Definitions 309–019–0226
Assertive Community Treatment (ACT) Overview 309–019–0230
ACT Provider Qualifications 309–019–0235
ACT Continued Fidelity Requirements 309–019–0240
ACT Failure to Meet Fidelity Standards 309–019–0241
Waiver of Minimum Fidelity Requirements 309–019–0242
ACT Program Operational Standards 309–019–0245
ACT Admission Criteria 309–019–0248
ACT Admission Process 309–019–0250
ACT Transition to Less Intensive Services and Discharge 309–019–0255
ACT Reporting Requirements 309–019–0270
Definitions 309–019–0275
Individual Placement and Support (IPS) Supported Employment Overview 309–019–0280
Supported Employment Providers 309–019–0285
Continued Fidelity Requirements 309–019–0290
Failure to Meet Fidelity Standards 309–019–0295
Reporting Requirements 309–019–0300
Service Requirements 309–019–0305
Provider Standards 309–019–0310
Minimum Staffing Requirements 309–019–0315
Training Requirements 309–019–0320
Documentation Requirements 309–019–0324
Youth Wraparound Definitions 309–019–0326
Youth Wraparound Program Rules
Last Updated

Jun. 8, 2021

Rule 309-019-0248’s source at or​.us